改良血管化骨膜-结缔组织瓣在上颌前牙区即刻种植中的应用

doi:10.11839/kqyxzh.2016.01.019

口腔医学研究 ›› 2016, Vol. 32 ›› Issue (1): 75-78.DOI: 10.11839/kqyxzh.2016.01.019

改良血管化骨膜-结缔组织瓣在上颌前牙区即刻种植中的应用

王群,胡芳芳,甘朝兵,陆钰,康林,吴海珍^*

解放军第105医院口腔中心安徽合肥 230031

收稿日期:2015-06-17 出版日期:2016-01-28 发布日期:2016-03-21
通讯作者: 吴海珍,电话:0551-65966576
作者简介:王群(1989~),女,安徽人,硕士在读,研究方向是口腔种植。

Application of Modified Vascularized Interpositional Periosteal-connective Tissue Technique in Immediate Implantation in the Maxillary Anterior Region.

WANG Qun, HU Fang-fang, GAN Chao-bing, LU Yu, KANG Lin, WU Hai-zhen.

Dental Center of the PLA 105 Hospital, Hefei 230031, China

Received:2015-06-17 Online:2016-01-28 Published:2016-03-21

摘要/Abstract

摘要： 目的:通过探索改良血管化骨膜-结缔组织瓣移植技术在上颌前牙区即刻种植中的应用,评价其临床效果。方法:30颗因外伤无法保留的上前牙,即刻种植时采用腭侧血管化骨膜-结缔组织瓣覆盖种植区,唇侧嵌插在半厚瓣下,观察术后临床效果。结果:30颗种植体即刻种植时,软组织创口均可达到无张力关闭。移植瓣成活率达96.67%。最终修复时,粉红美学评分(Pink Esthetic Score, PES)达12.20分。修复后半年近远中龈乳头、软组织外形及PES较修复完成时有所改善,且差异有统计学意义;修复后1年与半年相比,差异无统计学意义。结论:上颌前牙区即刻种植联合改良血管化骨膜-结缔组织瓣能够无张力关闭种植创口,修复后粉红美学效果良好。

关键词: 上前牙, 即刻种植, 改良血管化骨膜-结缔组织瓣, 粉红美学

Abstract: Objective: To explore the clinical efficacy of modified vascularized interpositional periosteal-connective tissue technique in the esthetic dental immediate implantation. Methods: 30 traumatic teeth that could not be maintained in esthetic zone were included in this study. A modified vascularized interpositional periosteal-connective tissue technique was applicated for the augmentation of peri-implant mucosa and closure of the immediate implantation wound. Clinical outcomes were evaluated. Results: The clinical survival rate of the flaps was 96.67%. The average Pink Esthetic Score was 12.20 immediately after final restorations. 6 months later, mesial papilla, distal papilla, soft-tissue contour and PES score were significantly improved. However, no significant difference was found between 12 months and 6 months after final restoration. Conclusion: The application of modified vascularized interpositional periosteal-connective tissue technique during immediate implantation in the maxillary anterior region can contribute to close the wound and gain a good pink esthetic outcome.

中图分类号:

R782.12

王群,胡芳芳,甘朝兵,陆钰,康林,吴海珍. 改良血管化骨膜-结缔组织瓣在上颌前牙区即刻种植中的应用[J]. 口腔医学研究, 2016, 32(1): 75-78.

WANG Qun, HU Fang-fang, GAN Chao-bing, LU Yu, KANG Lin, WU Hai-zhen.. Application of Modified Vascularized Interpositional Periosteal-connective Tissue Technique in Immediate Implantation in the Maxillary Anterior Region.[J]. Journal of Oral Science Research, 2016, 32(1): 75-78.

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改良血管化骨膜-结缔组织瓣在上颌前牙区即刻种植中的应用

Application of Modified Vascularized Interpositional Periosteal-connective Tissue Technique in Immediate Implantation in the Maxillary Anterior Region.

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